Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689665408 Individual Practitioner Male Practitioner

Dr. Brian E Jackson , DDS

Dentist • Willoughby Hills, OH

Professional Overview & Biography Verified Profile Summary

Dr. Brian Jackson, DDS is a registered healthcare professional specializing in Dentist in Willoughby Hills, OH. Practice services are available at 2775 BISHOP RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2775 Bishop Rd
Suite C

Willoughby Hills, OH 440922683

Telephone 4409447775
Fax 4409447887
Associated Practice Facility / Clinic
🏢 Brian E Jackson Dds Llc Facility NPI 1801349154

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Willoughby Hills, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Willoughby Hills, OH (2953 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OH 19620

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

State License OH 19620

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0879287 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1467513606

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2019

Durable Medical Equipment & Medical Supplies (License #19620 in OH)

NPI Profile Active July 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2016

Registered at 2775 BISHOP RD, SUITE C, WILLOUGHBY HILLS, OH 440922683 (Tel: 4409447775)

📍
Updated Business Mailing Address July 25, 2016

Registered at 2775 BISHOP RD, SUITE C, WILLOUGHBY HILLS, OH 440922683 (Tel: 4409447775)

👤
Provider Name / Credentials Updated July 25, 2016

Recorded as BRIAN JACKSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2016

Dentist (License #19620 in OH)

🟢
Initial NPI Registration & Enumeration November 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689665408
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2005
Last Update: April 24, 2019
Sole Proprietor: Yes

Mailing Address

2775 Bishop Rd, Suite C

Willoughby Hills, OH 440922683

Phone: 4409447775

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.